| NPI | 1942563960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60744875) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 51478) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2017-05-09 |